| NPI | 1841785581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 293234) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2018017093) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2022-08-02 |